| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.89 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $109.91 | $109.91 | $341.89 | |
CareFirst
| Professional | $102.57 | $111.80 | $114.04 | |
Cigna
| Professional | $89.51 | $249.54 | $543.71 | |
Kaiser Permanente
| Professional | $193.17 | $585.95 | $585.95 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $282.00 | $440.63 | $790.00 |